Blue Cross and Blue Shield of Minnesota
Senior Provider Performance Clinical Consultant
Blue Cross and Blue Shield of Minnesota, Eagan, Minnesota, United States
Senior Provider Performance Clinical Consultant
At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. This role is a key element in supporting Providers success in value-based agreements across all lines of business. The role works in tandem with the Manager of Clinical Consultation, Pr Provider Performance Clinical Consultants, and the Medical Director to review provider-specific data and to identify actionable clinical opportunities. Responsibilities
Advise and lead consultative conversations with provider groups about opportunities to improve clinical and cost/utilization trend. Develop and execute on provider-specific action plans for care systems with value-based agreements that are early in the path to risk. Contribute to the design of provider-facing clinical consultation tools, processes, supporting resources to support providers early in their path to risk. Facilitate discussion of opportunities identified based on review of value-based cost and utilization performance data in provider-facing meetings. Work closely with Medical Director and Manager of Clinical Consultation to review data and identify provider-specific opportunities. Advise on business needs to provider-performance data owners to ensure reporting meets the needs of clinical consultation and oversight conversations with providers. Required Skills And Experiences
5+ years of related professional experience. Possess relevant degree or extensive experience in healthcare, clinical care, or public health. Excellent executive presence, collaborative, interpersonal, verbal and written communication skills. Demonstrated track record of achievement with ability to influence change and identify customer expectations, barriers, and issues. Creative problem-solving skills, adapting approach as needed. Excellent facilitation and relationship building skills. Demonstrated ability to work independently and make decisions as needed. Expert level ability to make decisions based on analysis and business needs. Exceptional ability to work in high paced environment, handling multiple responsibilities and projects. High school diploma (or equivalency) and legal authorization to work in the U.S. Preferred Skills And Experiences
Bachelor's degree. Experience with value-based payment arrangements. Compensation And Benefits
Pay Range: $88,600.00 - $146,200.00 Annual. We Offer a Comprehensive Benefits Package Which May Include: Medical, dental, and vision insurance. Life insurance. 401k. Paid Time Off (PTO). Volunteer Paid Time Off (VPTO). And more. Equal Employment Opportunity Statement
At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors.
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At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. This role is a key element in supporting Providers success in value-based agreements across all lines of business. The role works in tandem with the Manager of Clinical Consultation, Pr Provider Performance Clinical Consultants, and the Medical Director to review provider-specific data and to identify actionable clinical opportunities. Responsibilities
Advise and lead consultative conversations with provider groups about opportunities to improve clinical and cost/utilization trend. Develop and execute on provider-specific action plans for care systems with value-based agreements that are early in the path to risk. Contribute to the design of provider-facing clinical consultation tools, processes, supporting resources to support providers early in their path to risk. Facilitate discussion of opportunities identified based on review of value-based cost and utilization performance data in provider-facing meetings. Work closely with Medical Director and Manager of Clinical Consultation to review data and identify provider-specific opportunities. Advise on business needs to provider-performance data owners to ensure reporting meets the needs of clinical consultation and oversight conversations with providers. Required Skills And Experiences
5+ years of related professional experience. Possess relevant degree or extensive experience in healthcare, clinical care, or public health. Excellent executive presence, collaborative, interpersonal, verbal and written communication skills. Demonstrated track record of achievement with ability to influence change and identify customer expectations, barriers, and issues. Creative problem-solving skills, adapting approach as needed. Excellent facilitation and relationship building skills. Demonstrated ability to work independently and make decisions as needed. Expert level ability to make decisions based on analysis and business needs. Exceptional ability to work in high paced environment, handling multiple responsibilities and projects. High school diploma (or equivalency) and legal authorization to work in the U.S. Preferred Skills And Experiences
Bachelor's degree. Experience with value-based payment arrangements. Compensation And Benefits
Pay Range: $88,600.00 - $146,200.00 Annual. We Offer a Comprehensive Benefits Package Which May Include: Medical, dental, and vision insurance. Life insurance. 401k. Paid Time Off (PTO). Volunteer Paid Time Off (VPTO). And more. Equal Employment Opportunity Statement
At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors.
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